DETERMINAN PERSALINAN SECTIO CAESAREA DI INDONESIA (ANALISIS LANJUT DATA RISKESDAS 2013)

Novianti Margareth Sihombing, Ika Saptarini, Dwi Siska Kumala Putri

Abstract


Background: Today, caesarean section in Indonesia have been increasing and the percentage varies among provinces.

Objective: The study aimed to determine the characteristics of mothers who performed caesarean delivery as well as the risk factors that accompanied the mother during pregnancy and/or labor.

Method: To explore the determinant of caesarian section operation, logistic regression analysis was done with odds ratios and 95 % confident intervals.

Result: Based on the characteristics of  socio-economic status, the greater chance of caesarian delivery are among mothers with highest economic level (OR: 2.55), higher education level (OR: 3.28), living in urban areas (OR: 1.46), having formal employment as private employee (OR: 1.36), and having and using health insurance (OR: 1.12) . While based on maternal health status, the greater chance of caesarian delivery are among mothers having risk factors, such as height at ≤145 cm (OR: 1.93), aged > 35 years (OR: 1,68), birth age of >42 weeks (OR: 1.97), with parity of one birth (OR: 2.49), giving birth with labor difficulties (OR: 1.21), having a history of complications during pregnancy (OR: 1.29) and complication of labor (OR: 6.63), and having complete antenatal care (K4) (OR: 1).

Conclusion: Factors that encourage the occurrence of caesarean delivery are maternal characteristics, maternal and fetal health status variables with a history of complications during pregnancy, complication of labor, parity and complete antenatal care history that have a greater chance for caesarean delivery.


Keywords


determinant, caesarean, labor, maternal health

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